How is Cotiviti enabling health plans to navigate new frontiers in quality improvement? Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) featuring Branka Sustic. ▶️ Stay tuned next week as our video series continues with a deep dive into risk adjustment!
About us
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, consumer engagement, and network performance management programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.
- Website
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http://www.cotiviti.com
External link for Cotiviti
- Industry
- IT Services and IT Consulting
- Company size
- 5,001-10,000 employees
- Headquarters
- South Jordan, UT
- Type
- Public Company
- Specialties
- Analytics, Payment Integrity, Payer Liability, Payment Accuracy, Clinical Appropriateness, Coding Compliance, Contract Compliance, Procure-to-Pay, Supplier Audit, Overpayment Recovery, Healthcare, Retail, Pay-for-Value, HEDIS, Risk Adjustment, and Provider Network Performance
Locations
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Primary
Get directions
10701 S River Front Pkwy, Unit 200
Unit 200
South Jordan, UT 84095, US
Employees at Cotiviti
Updates
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The Improving Seniors’ Timely Access to Care Act seeks to modernize the prior authorization process for Medicare Advantage plans. This legislation eliminates long delays and unfair denials by standardizing the process and mandating greater transparency. https://bit.ly/3RvVgmd Fierce Healthcare #healthcare #HealthPlans
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Small Medicare Advantage plans face unique hurdles in maintaining competitive Star Ratings. Writing for Healthcare Business Today, Cotiviti's Marge Ciancetta offers strategies such as: 🔹 Use data to determine where to focus limited resources 🔹 Track members with social risk factors (SRF) 🔹 Keep an eye on future measures of significance 🔹 Don't view measures in a vacuum 🔹 Provide excellent care, customer service, and support https://bit.ly/4dmTDkn' Healthcare Business Today #HealthPlans #healthcare #payments
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The latest projections from the CMS Office of the Actuary highlight the pressing need for sustainable solutions to address the nation's escalating healthcare costs. With healthcare spending expected to reach $4.8 trillion in 2023, outpacing broader economic growth for the first time since the COVID-19 pandemic, the strain on the nation's resources is becoming increasingly apparent. https://bit.ly/3RucfFu Healthcare Dive Centers for Medicare & Medicaid Services #HealthPlans #healthcare
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Payers are looking to address unfavorable medical loss ratios with a robust coordination of benefits (COB) program—while keeping member satisfaction at the forefront. Read the latest Cotiviti checklist for actionable steps to improve COB results in 2024 and beyond. https://bit.ly/3RT4Ek3 #healthcare #HealthPlans #payments
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In our YouTube webinar, "Rising Stars: Optimizing MA Star Ratings with Star Intelligence," Cotiviti experts walk through how to prepare for upcoming CMS program changes and improve Star Ratings. Subscribe to our YouTube channel for more quality improvement insights. https://lnkd.in/g8Uzyjs9 #HealthPlans #healthcare
Rising Stars: Optimizing Medicare Advantage Star Ratings with Star Intelligence
https://www.youtube.com/
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A recent survey conducted by Kyruus Health has shed light on a critical issue facing the healthcare industry: the impact of inaccurate online provider information on members' access to care and their trust in payers. When payers' online provider data is incorrect, it can create significant barriers for members seeking healthcare services, potentially delaying or preventing them from receiving the care they need. https://bit.ly/3Vt2BnR HealthPayerIntelligence #HealthPlans #healthcare
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Do you have questions about making payment integrity work for administrative service only (ASO) partners? Our white paper offers practical guidance on engaging self-insured employer groups and optimizing payment integrity measures. You'll learn about: 🔹 Shaping program design and contracting 🔹 Negotiating fees with self-insured employers 🔹 Engaging employer groups 🔹 Implementing technical updates Download your copy here. https://bit.ly/4c7vWLy #payments #HealthPlans
Payment integrity: Getting self-insured employer groups on board
resources.cotiviti.com